Online Forms

Governors Family Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Governors Family Chiropractic Forms

New Patient Health History Form - Required

Download & Print Form

Fill Out Form Online


New Branch Chiropractic Forms

New Patient Health History Form - Required

Download & Print Form

Massage Therapy

Download & Print Form

Authorization to Release Records

Download & Print Form



Download the Free Adobe Reader®

Office Hours

Governors Family

Monday

8:30 am - 5:30 pm

Tuesday

8:30 am - 5:30 pm

Wednesday

8:30 am - 5:30 pm

Thursday

8:30 am - 5:30 pm

Friday

8:30 am - 5:30 pm

Saturday

By Appointment

Sunday

Closed

New Branch

Monday

8:30 am - 2:30 pm

Tuesday

Closed

Wednesday

8:30 am - 2:30 pm

Thursday

Closed

Friday

Closed

Saturday

Closed

Sunday

Closed

Governors Family

Monday
8:30 am - 5:30 pm
Tuesday
8:30 am - 5:30 pm
Wednesday
8:30 am - 5:30 pm
Thursday
8:30 am - 5:30 pm
Friday
8:30 am - 5:30 pm
Saturday
By Appointment
Sunday
Closed

New Branch

Monday
8:30 am - 2:30 pm
Tuesday
Closed
Wednesday
8:30 am - 2:30 pm
Thursday
Closed
Friday
Closed
Saturday
Closed
Sunday
Closed

Contact Us

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